| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Repeat: Observed some damaged walls in rooms. (Points not increased).
Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. |
|
8
|
1
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
-Repeat: Observed loose toilet seats in 209, 226, and the whole toilet moving in 117. *Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). -Observed black grout in both of the shower rooms. Inspector used an alcohol wipe and some of the black buildup came off. -Observed buildup on shower curtains in the shower rooms. Clean.
Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).
-Observed pink buildup around the drain, handles, and backsplash of the sink in 200 hall supply room. Clean.
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b) |
|
9
|
0.50
|
Toilet rooms free of storage, hand wash signs posted |
No |
No
|
No |
Repeat: Observed wheelchairs and geriatric chair trays stored in the shower room.
Toilet rooms shall not be used for storage. See rule .1312 (b). |
|
12
|
1.50
|
Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device |
No |
No
|
No |
Observed no soap or paper towels in 200 hall med room, nourishment room, room 220, and the beauty salon. Provide.
Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). |
|
22
|
1
|
Solid waste disposed of frequently, no insect breeding or nuisance |
No |
No
|
No |
-Repeat: Observed bags of garbage on the ground behind the dumpster.
-Observed the dumpster open, rusted, bent, and with a hole in the back.
-Observed a construction dumpster onsite with "resident" trash in it. DO NOT STORE ANYTHING BUT CONSTRUCTION/FURNITURE AND OTHER THINGS OF THAT SORT IN THE CONSTRUCTION DUMPSTER.
All solid wastes shall be disposed of with sufficient frequency and in such a manner as to prevent insect breeding or public health nuisances. 15A NCAC 18A .1316 (d). |
|
32
|
2
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Repeats: -Observed raw wood exposed on headboards and footboards throughout facility in resident's room. Refurbish furnishings in resident's rooms. -Observed a hole in a pillow in the therapy room. -Observed stains and debris on and under the couch cushion in the common room. -Observed stains on pillow, debris on mattress, and stains on the dividing curtain in 209. -Observed laminate on closet drawers missing. Paint or seal exposed raw wood.
All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a). |
|
35
|
1
|
Patient contact items in good repair, properly stored, cleaned and disinfected |
No |
No
|
No |
Repeat:
-Observed tear on physical therapy table.
-Observed hair rollers in salon that still contained hair from previous patient.
Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c). |
|
36
|
1
|
Approved utensils and equipment, cleaned and sanitized |
No |
No
|
No |
-Observed buildup inside of the microwaves in activity and nourishment rooms. Clean.
-Observed buildup in the drawers in the nourishment rooms. Clean.
-Observed blue coolers with pink buildup and debris in the 200 hall nourishment room. Clean.
Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c). |
|
40
|
1
|
Food brought by employees or visitors handled properly |
No |
No
|
No |
Repeat: Observed outside food in the nourishment refrigerator without dates.
Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's
food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility.
15A NCAC 18A .1321 (b). |